“My doctor spends time with me and talks in layman’s terms. The staff are so friendly and helpful. It’s a culture and style that I like.”

– Bruce

“My doctor spends time with me and talks in layman’s terms. The staff are so friendly and helpful. It’s a culture and style that I like.”

– Bruce

Men’s Urology

COMPREHENSIVE

We provide screening, preventative care and medical care for urological and reproductive health.

STATE-OF-THE-ART

We deliver the most advanced diagnostic, medical and surgical care available.

LOCAL

We live and work in the community and treat our patients like neighbors.

CONDITIONS WE TREAT

Benign Prostate
Hyperplasia (BPH)

About Benign Prostate Hyperplasia (BPH)

Benign Prostatic Hyperplasia (BPH) means your prostate is enlarged but not cancerous. It’s very common in older men. In the US there are more than 3 million cases per year.

The prostate makes fluid for semen. The prostate is below the bladder and in front of the rectum. It goes all around the urethra. When it becomes enlarged (normal size is about the size of a walnut), it can squeeze the urethra. This causes the bladder wall to thicken and may weaken the bladder. You may become unable to completely empty your bladder.

Benign Prostate Hyperplasia (BPH) Symptoms

Symptoms vary but the most common signs of BHP are:

  • Urgency to urinate
  • Urinating a lot, especially at night
  • Weak urine flow
  • Difficulty starting to urinate
  • Continuing to feel like your bladder is full even after urinating
  • The need to push or strain to urinate
  • Dribbling of urine

Benign Prostate Hyperplasia (BPH) Diagnosis

Your doctor will gather your medical history and perform a digital rectal exam (DRE). You may also have a prostate-specific antigen, or PSA, blood test to screen for prostate cancer. PSA is a protein produced by both benign (noncancerous) and cancerous cells of the prostate. Other tests may include a cystoscopy, ultrasound and urodynamic pressure.

Benign Prostate Hyperplasia (BPH) Treatments

Treatments vary and are personalized. Treatments may include watching and waiting, medications, or surgery.

Elevated PSA (Prostate-Specific Antigen)

About Elevated PSA (Prostate-Specific Antigen)

PSA (Prostate-Specific Antigen) is a protein produced by cells in the prostate. PSA is found in the blood. An elevated blood level may be a sign of prostate cancer but not always. Other conditions that are benign (not cancer) include, prostatitis (inflammation of the prostate), benign prostatic hyperplasia (enlargement of the prostate), and urinary tract infections (UTIs).

Your doctor will spend time with you to educate you about PSA levels, the cause and recommended treatments.

Elevated PSA Symptoms

Symptoms vary but the most common signs of elevated PSA include:

  • Urgency to urinate
  • Urinating a lot, especially at night
  • Weak urine flow
  • Difficulty starting to urinate
  • Continuing to feel like your bladder is full even after urinating
  • The need to push or strain to urinate
  • Dribbling of urine
  • Pain after ejaculation

Elevated PSA Diagnosis

Your doctor will gather your medical history and a PSA blood test.

Elevated PSA Treatments

Treatments for noncancerous conditions may include medications or surgery.

Kidney Stones

About Kidney Stones

Kidney stones can be extremely painful. A kidney stone forms when substances normally found in the urine (calcium, uric acid, struvite, or cystine) become highly concentrated. Certain foods may contribute to the formation of stones. Unfortunately, kidney stones are one of the most common disorders of the urinary tract. Each year more than half a million people go to the emergency room for kidney stone problems. 
Kidney stones can pass out of the body without any intervention by a doctor. Stones that cause lasting symptoms or other complications may be treated by various techniques, most of which don’t involve major invasive surgery.

Kidney Stones Symptoms

Symptoms may include:

  • Pain when urinating
  • Blood in urine
  • Sharp pain in the back or lower abdomen
  • Nausea and vomiting

Kidney Stones Diagnosis

Your doctor will gather your medical history and perform a physical exam, which may include urine, blood and imaging tests.

Kidney Stones Treatments

Kidney stones vary in size and shape and may range from a grain of sand, to a pearl or even as big as a golf ball. It’s important to drink lots of fluids to help move the stone(s). Small stones may pass through the urinary tract without treatment; however, larger stones may require a procedure called shock wave lithotripsy or endoscopic laser surgery.

Urinary Tract Infections (UTIs)/Bladder Infections

About UTIs

Urinary tract infections are a serious health problem affecting millions of people each year. 
Infections of the urinary tract are the second most common type of infection in the body. Women are especially prone to UTIs. One woman in five develops a UTI during her lifetime. UTIs in men are not as common as in women but can be very serious.

Your urinary system consists of the kidneys, ureters, bladder, and urethra. The key elements in the system are the kidneys, a pair of purplish-brown organs located below the ribs toward the middle of the back. The kidneys remove excess liquid and wastes from the blood in the form of urine, keep a stable balance of salts and other substances in the blood, and produce a hormone that aids the formation of red blood cells. Narrow tubes called ureters carry urine from the kidneys to the bladder, a sack-like organ in the lower abdomen. Urine is stored in the bladder and emptied through the urethra. 
The average adult passes about a quart and a half of urine each day. The amount of urine depends on the fluids and foods you consume. The amount of urine formed at night is about half of that during the day.

UTI Symptoms

Some women don’t have symptoms with a UTI, but most have a least one or more of the following:

  • A sense of urgency to urinate though little comes out when you do
  • A painful, burning feeling when urinating
  • Feeling like you can’t hold in urine
  • Lower abdominal pain or pressure
  • Cloudy, dark or bloody urine
  • Bad-smelling urine
  • Fever, chills or shakes

UTI Diagnosis

Your doctor will gather your medical history and perform a physical exam which may include tests (urine analysis or urine culture). If you have recurring UTIs, you may get additional imaging tests such as a cystoscopy or ultrasound.  A cystoscopy is a thin tube with a camera that is inserted through your urethra into your bladder to see inside your bladder. An ultrasound produces pictures of your bladder and kidneys using sound waves.

UTI Treatments

Most UTIs can be effectively treated with antibiotics.

Urinary Retention (Difficulty Urinating)

About Urinary Retention

Urinary retention is the inability to empty the bladder. Some people with urinary retention have an acute case. They suddenly cannot urinate and it lasts for a short time. Acute urinary retention can cause great discomfort or pain and is potentially life-threatening. It requires immediate emergency treatment.

People who have chronic urinary retention can urinate but do not completely empty all the urine from their bladders. Often people aren’t aware that they are not completely emptying they bladders until they have other problems. Urinary retention can be caused by obstruction of the urethra, nerve problems, medications and/or weakened bladder muscles.

Urinary Retention Symptoms

Seek immediate emergency treatment if you have symptoms for acute urinary retention. These include:

  • Unable to urinate
  • Painful and urgent need to urinate
  • Pain or discomfort in the lower abdomen
  • Bloating of the lower abdomen

Symptoms for chronic retention may include:

  • Urinating eight or more times a day
  • Trouble beginning a urine stream
  • A weak or interrupted urine stream
  • An urgent need to urinate but with little success
  • Feeling the need to urinate after finishing
  • Mild or constant discomfort in the lower abdomen and urinary tract

Urinary Retention Diagnosis

Your doctor will gather your medical history and perform a physical exam, which may include medical tests, including a cystoscopy or urodynamic test (a test to measure the amount of urine left in your bladder after urination).

Urinary Retention Treatments

Treatments for urinary retention may include bladder drainage, urethral dilation or stents or surgery.

Circumcision

About Circumcision

Circumcision is removal of the foreskin of the penis. Some parents choose to have their newborn’s circumcised for religious reasons. Circumcision can also be for personal hygiene, preventive healthcare or so their son will look like Dad. There are advantages and disadvantages that we are happy to discuss with you.

Urinary
Incontinence

About Urinary Incontinence

Urinary incontinence is leaking of the urine that you can’t control.  Many men and women experience urinary incontinence. Causes may include weak bladder muscles, blockage from an enlarged prostate, overactive bladder muscles and problems in the nerves that control urination.

Urinary Incontinence Symptoms

Symptoms include:

  • Accidental urination
  • Leaking urine when you cough, laugh or move
  • Constant dribble

Urinary Incontinence Diagnosis

Your doctor will gather your medical history and perform a physical exam. Your doctor also may perform tests including a urinalysis, stress test, ultrasound,  postpaid residual volume, urodynamics or cystoscopy.

Urinary Incontinence Treatments

Urinary incontinence may be treatable with lifestyle changes and Kegel exercises. Other treatments may include medications, injection therapy or surgery.